Hello Rana, mai aapki takleef samajh paa raha hoon. Lekin aise aapke skin issue pata nahi lag payega. Agar ho sakte to ek photo share kijiye. Skin problems bina dekhe diagnose nahi ki jaa sakti. Agar photo share karna possible nahi hai to ek certified Dermatologist ya Family Medicine Specialist se physically consult karein.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine
नमस्ते राणा जी 👋
1 महीने से लिंग की ऊपर की तरफ जो ज़ख़्म ठीक नहीं हो रहा, उसे हल्के में मत लीजिए
अभी के लिए कोई क्रीम / स्टेरॉइड और क्लोट्रीमाज़ोल लगाना बंद कर दीजिए
बिना शर्म सीधे नज़दीकी यूरोलॉजिस्ट या स्किन स्पेशलिस्ट से आमने‑सामने दिखाइए, जरूरत हो तो बायोप्सी भी की जा सकती है
रिपोर्ट और जांच के बाद ही सही इलाज और दवा दी जा सकती है
डॉ. निखिल चौहान यूरोलॉजिस्ट
Hello dear See it may be nodular region or any infection May be bacteria or viral Iam suggesting some topical medication In case of no improvement in 1 week consult general physician medicine for better clarity Lulliconazole topically twice a day for 5 days Fusidic acid topical application twice a day for 5 days Lacto calamine lotion topical application twice a day for 3 days Regards
Test:
VDRL / RPR (Syphilis test) HIV test (routine screening) Swab / biopsy (agar zarurat hui)
Possible causes (tests ke bina confirm nahi hota) Sexually transmitted infection (STI)
Syphilis (chancre):
Dard nahi hota
Non-healing ulcer
Clean base
Herpes: usually painful hota, isliye kam likely
Fixed drug eruption
Kisi medicine ke baad ek hi jagah lesion baar-baar ya long time tak rehta Chronic dermatitis / frictional ulcer
Zyada washing, friction, ya galat cream se worsen hota
Premalignant / early malignant lesion Rare hai, lekin 1 month se non-healing penile lesion ko ignore nahi kiya ja sakta
1 month se non-healing penile lesion ko online ya trial-and-error se treat nahi karna chahiye. Aapko dermatologist / STD specialist ko physically dikhana zaroori hai for examination and tests. Steroid creams bilkul avoid karein aapka approach bilkul sahi hai.
Hello Rana
Samajh aa gaya—aapko penis ke upar ek non-healing lesion hai, jo 1 mahine se hai, dard ya peep nahi hai, diabetes nahi hai, aur clotrimazole lagane se jagah aur raw ho gayi hai. Aap steroid combination nahi chahte, sirf proper assessment ke baad suggestion chahiye.
Thoda aur samajhna chahta hoon taaki sahi guidance de sakoon:
Kya yeh lesion ek hi jagah hai ya multiple hain? Kya yeh lesion gol hai ya lambai mein hai? Aur iska size lagbhag kitna hai—chhota daane jaisa, ya 1 cm se bada? Kya is jagah par koi sujan (swelling), laalima (redness), ya chamak (shiny appearance) hai?
Thank you
A non-healing lesion on the penis for over a month, especially without pain or pus, requires careful evaluation. You’ve mentioned that clotrimazole didn’t help and made the area feel ‘raw’, which might suggest irritation or sensitivity to the cream, or a misdiagnosed condition. Since you mentioned no diabetes, that’s good to know, as diabetes can affect healing but keep in mind other factors. A persistent lesion could indicate multiple underlying issues, from simple infections (consider fungal or bacterial causes), inflammatory reactions, to more serious concerns, including pre-malignant or malignant conditions. Essential initial steps include avoiding any further topical treatments that aren’t specifically advised by a doctor to prevent any further irritation. It’s crucial to consult with a dermatologist or healthcare provider for a definitive diagnosis. They might consider a biopsy or specific diagnostic tests, possibly including a swab, to identify bacterial or viral infections, if any. It’s important to address underlying causes appropriately— don’t delay. In terms of personal care, ensure the area is kept clean and dry; use mild unscented soaps if necessary and avoid any irritants. Monitoring for changes in size, color, or texture, and note any new symptoms like bleeding or additional discharge, these are key for reporting to your healthcare provider. Make sure to seek professional evaluation promptly to rule out any serious conditions, and guide you on a path towards effective treatment tailored to the exact cause of the lesion.
